Childrens Dentistry At Hamilton Mill & Gainesville
LBN: Diane C Kelly Dmd, Pc
Childrens Dentistry At Hamilton Mill & Gainesville is an health care organization with primary practice located at 655 Jesse Jewell Pkwy Se , Gainesville GA 30501. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Diane C Kelly Dmd, Pc can be contacted via phone (770) 539-9110, or through Kelly, Diane C via phone (678) 714-7011.
Contact Information
Primary practice address
655 Jesse Jewell Pkwy Se
Gainesville GA 30501
Phone: (770) 539-9110
Fax: (678) 714-8388
Website:
Authorized official contact:
Name: Kelly, Diane C Doctor of Dental Medicine (DMD)
Phone: (678) 714-7011
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | DNO12082 | Georgia |
Profile Details
NPI number | 1740452465 |
---|---|
LBN Legal business name | Diane C Kelly Dmd, Pc |
DBA Doing business as | Childrens Dentistry At Hamilton Mill & Gainesville |
Authorized official | Kelly, Diane C Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 2nd, 2008 |
Last updated | Aug 19th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740452465 | NPPES |
Georgia | MEDICAID | 186794814A | |
Georgia | MEDICAID | 191450941A | |
Georgia | MEDICAID | 390489607J | |
Georgia | MEDICAID | 000046582Y | |
Georgia | MEDICAID | 919057925B | |
Georgia | MEDICAID | 514725717B | |
Georgia | MEDICAID | 000851727B | |
Georgia | MEDICAID | 609963109E | |
Georgia | MEDICAID | 218323780A | |
Georgia | MEDICAID | 609963109L |
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